To request a presentation, please complete this registration form. Presentations are limited to neighboring Santa Barbara County public schools. The Academic Outreach Office will contact the presenter to schedule the event. We will notify you via email upon receipt of your form.

Name:


School:


Contact Number:


Phone:


Email Address:

Title of Presentation:


Prospective Date of Presentation :
(A general range, i.e. "anytime in May...", "during the week of...", or "any MWF in Sept during the 11:00 am hour" is preferable. If you require a specific date/time, please provide at least two alternates that can be accomodated within the time constraint):


To make the presentation more useful to your class, please describe the material you are teaching:


Please provide us with concepts you would like the activity/presentation to emphasize:


Time and Length of Class Period(s):


Grade Level(s):


Number of Students:

Presentation availability is subject to change
Please note: All correspondence will be conducted via email.